Nursing Care and Anesthesia for One Lung Ventilation (OLV) Technique in Patients Undergoing Pulmonary Surgery: A Comparative Study of 2 Cases
Keywords:
One-lung ventilation, Double-lumen endotracheal tube, Thoracic surgery, Anesthesia nursing, ComplicationsAbstract
Background: Lung surgery requires complex anesthetic management, particularly the one-lung ventilation (OLV) technique. This technique requires a double-lumen endotracheal tube to isolate the operative lung and provide optimal surgical exposure. However, OLV may lead to complications such as hypoxemia, hypotension, and ventilation–perfusion mismatch.
Objective: To explore and compare nursing care for patients receiving anesthesia with the OLV technique using Orem’s Self-Care Deficit Nursing Theory.
Methods: This comparative descriptive case study included two patients diagnosed with empyema thoracis who underwent thoracotomy with decortication using the OLV technique at Sakon Nakhon Hospital. Data were collected from medical records, including patient characteristics, comorbidities, laboratory findings, ventilator settings, and perioperative complications.
Results: Patient 1was a 64-year-old male with diabetes mellitus and hypertension who developed intraoperative hypoxemia and hypotension, which were promptly managed. Patient 2 was a 43-year-old male without underlying diseases and experienced no complications. Both patients were successfully extubated in the recovery room and discharged on postoperative day 4.
Conclusion: Age and comorbidities were associated with the risk of complications during OLV. Comprehensive preoperative assessment, close monitoring, and multidisciplinary collaboration are important to enhance patient safety.
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